Organization Active NPI

Pete Thomas DPM Professional Corporation

  • Podiatrist
  • Santa Ana, CA
National Provider Identifier
1295998730
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PETE THOMAS DPM PROFESSIONAL CORPORATION
Practice address
1535 E. 17TH St.
Suite 107
Santa Ana, CA 92705-8532
Phone
(714) 834-9710
Fax
(714) 834-9718
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pete Thomas, DPM
Title
Owner
Phone
(714) 835-9147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1535 E. 17TH St.
Suite 107
Santa Ana, CA 92705-8532

Mailing address

1535 E. 17TH St.
Suite 107
Santa Ana, CA 92705-8532
Phone (714) 834-9710

Other names 1

  • Coastline Podiatry Group Inc. Other name

National Provider Directory

National Provider Directory

Locations

11820 Downey Ave
Downey, CA 90241
Phone (310) 526-7144

2226 Medical Center Dr
Ste 104
Perris, CA 92571
Phone (909) 943-7052

1535 E 17th St
Ste 107
Santa Ana, CA 92705
Phone (714) 834-9710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1295998730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 E. 17TH ST.",
            "address_2": "SUITE 107",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058532",
            "telephone_number": "714-834-9710",
            "fax_number": "714-834-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 E. 17TH ST.",
            "address_2": "SUITE 107",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058532",
            "telephone_number": "714-834-9710",
            "fax_number": "714-834-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE THOMAS DPM PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-835-9147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Podiatry Group Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.